HomeMy WebLinkAbout333574 12/14/18 c,q
,� CITY OF CARMEL, INDIANA VENDOR: 368918
ONE CIVIC SQUARE PENN CARE INC.
CHECK AMOUNT: $*******203.50*
jr? CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 333574
.y�TON,,�. NILES OH 44446 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M229.57.01 203.50 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 368918 ALLOWED 20, ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ CITY OF CARMEL
1317 NORTH ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
NILES, OH 44446
Payee
$203.50
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
M22957.01 42-390.11 $203.50 1 hereby certify that the attached invoice(s),or 12/10/18 M22957.01 Misc.EMS Supplies $203.50
1120 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 11,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1317 North Road Invoice #M22957.01
� r Niles, OH 44446
(800)392-7233
■ Many Needs....One Solution sales@penncare.net
ra —
Bill To: Ship To: Order#: M22957
Carmel Fire Dept. Carmel Fire Dept. PO: 11302018
Attn: Denise Snyder Attn:Andrew Young Internet Order#: 126270
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 11/30/2018
Invoice Date: 12/7/2018
Ship Via: FedEx
Code Name Price Qty Unit Ext Price
09-3597Y Backboard Strap, Disposable Vinyl 3.70 31 set 114.70
Impervious Yellow 5'
02-050403 Syringe, Luer-Lok,with 22g x 1.5" 0.15 100 each 15.00
Needle,3cc
07-09842 Tape, Surgical Cloth Tape 2", 6/box 8.20 9 box/6 73.80
Tracking # 784255872623 Subtotal $203.50
Shipping $0.00
Total $203.50
Payments/Credits
Balance $203.50
Page 1 of Printed: 12/7/2018 at 11:46:08 AM